Introduction to Professional Nursing Solved
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Course Introduction
Introduction to Professional Nursing offers a comprehensive overview of the nursing profession, its history, core values, and evolving roles within the modern healthcare system. The course introduces students to foundational concepts such as ethical and legal responsibilities, evidence-based practice, patient-centered care, and effective communication within interdisciplinary teams. Students will also explore the standards of nursing practice, professional organizations, and career development opportunities, equipping them with the knowledge and skills necessary to embark on their journey as professional nurses and compassionate healthcare advocates.
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Nursing Now! Todays Issues Tomorrows Trends 6th Edition by Joseph T. Catalano
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Page 2
Chapter 1: The Development of the Profession
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Sample Questions
Q1) A nursing student is approached by a friend who is not majoring in nursing. The friend asks why the nursing profession does not seem to be actively involved in the women's rights movement. How can the student best respond to this question?
A)Nurses do take an active part in leading the women's rights movement, but it is done very quietly.
B)The women's rights movement shuns participation by nurses because of nursing's subservient image.
C)The health-care industry discourages nurses from becoming involved in women's rights issues.
D)Nurses avoid becoming involved in women's rights issues because of their traditional role as "helpers."
Answer: D
Q2) The overall goal of nurses who work as case managers is to ________________the use of health-care services in the most efficient and cost-effective manner possible.
Answer: coordinate
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3
Chapter 2: Historical Perspectives
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Q1) Which development during the European Middle Ages led to a major improvement in health care?
A)A rapid growth in medical knowledge
B)Establishment of large central hospitals
C)Growth of religious orders to care for the sick
D)A shift to care of ill persons by women
Answer: C
Q2) What was a major goal of Lavinia Dock?
A)Establish a new nursing organization.
B)Publish a nursing journal.
C)Obtain the right to vote for women.
D)Improve the education of nurses.
Answer: C
Q3) What are the dates of Florence Nightingale's birth and death?
A)March 3, 1578; June 10, 1657
B)January 9, 1715; September 30, 1785
C)May 12, 1820; August 13, 1910
D)April 15, 1932; December 10, 1957
Answer: C
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Page 4
Chapter 3: The Evolution of Licensure, Certification, and Nursing Organizations
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Sample Questions
Q1) What measure can nurses use to establish a nurse support network?
A)Insist that all nurses follow the same path to success.
B)Avoid criticizing each other in public.
C)Set very high standards for care.
D)Advocate for a multi-entry level education system.
Answer: B
Q2) One of the most important factors in recent changes that have occurred in the health-care system is demands by ______________________for higher quality care.
Answer: health-care consumers
health care consumers
Q3) Identify a key service provided by the American Nurses Association.
A)Accrediting schools of nursing
B)Improving the standards for higher education in nursing
C)Improving health and nursing care throughout the world
D)Testing and certifying advanced practice nurses
Answer: D
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Page 5
Chapter 4: Theories and Models of Nursing
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Q1) In what way have advanced practice nurses most contributed to the development of theories and models in nursing?
A)Using their advanced education to develop new, more realistic theories
B)Challenging theorists to publish their theories in language everyone can understand
C)Requiring theorists to modify their theories to meet the needs of independent practice
D)Testing theories in actual nursing practice situations
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
Q2) What is a key function of the nurse in Neuman's Health-Care Systems Model?
A)Identify the level at which a disruption in the client's internal stability has taken place.
B)Return the client to a state of adaptation.
C)Set goals for the fulfillment of clients' needs.
D)Assist the client to reach his or her greatest potential.
Q3) The nursing profession uses the term ________________when attempting to explain apparent relationships between observed behaviors and their effects on a client's health.
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Chapter 5: The Process of Educating Nurses
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Q1) Select all the elements from the list below that are found in the Pew Health Professions Commission Report on the reform for nursing education.
A)Increasing the use of computer technology and interactive software
B)Preparing all nursing faculty at the doctoral level
C)Promoting interdisciplinary education
D)Developing cultural sensitivity
E)Limiting nursing class size to no more than 50 students
F)Expanding the scientific basis of the programs
Q2) How can the concept of a career ladder in education best be described?
A)Specialized programs for associate degree or diploma registered nurses (RNs) to attain a baccalaureate degree
B)The ability of staff nurses to be promoted based on their clinical skills
C)The relationship between one level of nursing education and the next level of education
D)After nurses pass the NCLEX examination, they are all considered professionals
Q3) Nursing care that is client-focused and revolves around the client's trust in, value of, and understanding of the nurse's skills is called _________________________.
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Chapter 6: Critical Thinking
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Q1) What is the first step in the process of critical thinking?
A)Identify the underlying beliefs.
B)Identify the problem.
C)Identify the value systems conflicts.
D)Identify the best solution to the conflict.
Q2) A client is immobilized because of a stroke. Immobilized clients should be turned every 2 hours; therefore, this particular client should be turned every 2 hours. What is an accurate statement about the type of reasoning and the conclusion reached?
A)Inductive reasoning with an uncertain conclusion
B)Deductive reasoning with a certain conclusion
C)Inductive reasoning with a certain conclusion
D)Deductive reasoning with an uncertain conclusion
Q3) A ________________is generally defined as an error in reasoning that leads to a conclusion that does not follow from its premises.
Q4) Identify the best sources of support for nurses' beliefs about health care.
A)Opinions and stereotypes
B)News programs and documentaries
C)Written reports and published surveys
D)Discussions and informal feedback from clients
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Chapter 7: Ethics in Nursing
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Q1) What is the primary function of an ethical code?
A)A framework for decision making
B)A collection of static rules
C)A group of legally binding values
D)The "ball and chain" of the profession
Q2) Over time, popular acceptance of ________________rights can give them force of ________________rights.
Q3) Identify the system of ethical decision-making that is based on the discovery and confirmation of a set of morals or rules that govern the ethical dilemma.
A)Deontological
B)Jurisdictional
C)Teleological
D)Theological
Q4) Identify the term used when an ethical situation arises in which there is a choice between two equally unfavorable alternatives.
A)A tort
B)Ethical antagonism
C)Contraindication
D)Ethical dilemma
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Chapter 8: Bioethical Issues
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Sample Questions
Q1) Identify the nursing action that is most important for nurses to ensure when assisting in genetic screening procedures such as amniocentesis.
A)Informed consent is given freely by the client.
B)The client understands the nature of the procedure.
C)The client understands the type of information that will be produced by the procedure.
D)The confidentiality of the information will be maintained.
Q2) As a general ethical principle, ________________and ________________should be excluded from the selection of an organ transplant recipient.
Q3) Identify the two most important ethical issues that surround clients infected with HIV and those who have AIDS.
A)Confidentiality and right to care
B)Self-determination and distributive justice
C)Veracity and informed consent
D)Fidelity and option rights
Q4) The essential ethical principle of ________________is the legal and ethical foundation for the use of advanced directives.
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Chapter 9: Nursing Law and Liability
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Q1) Identify the situation in which a nurse would likely be charged with negligence.
A)Slapping a client across the face for using foul language
B)Leaving the side rails down on a bed of a confused client
C)Using restraints on a client without a doctor's order
D)Telling the local newspaper of a client's diagnosis
Q2) How can the legal term "tort" best be defined?
A)It is a violation of the criminal law.
B)If proven guilty, the defendant will go to prison.
C)It is a violation of the civil law.
D)It is something that is good to have for breakfast.
Q3) In which situation would an emergency room nurse be justified in proceeding without obtaining consent, verbal or otherwise?
A)An unconscious, profusely bleeding victim is brought in by ambulance.
B)A 13-year-old child is brought to the emergency room after suffering a fractured arm while at school.
C)A construction worker comes into the emergency room to have a boil lanced.
D)A 15-year-old high-school girl comes in for treatment of psoriasis.
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Chapter 10: How to Take and Pass Tests
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Q1) A 24-year-old woman comes to the family planning clinic with dysuria, purulent vaginal drainage, and perineal pruritus and has a positive culture for a sexually transmitted disease (STD). Identify the STD that the nurse is required to report to the public health department.
A)Genital herpes
B)Vaginal warts
C)Gonorrhea
D)Chlamydia
Q2) Identify the instructions by the nurse to a client with a history of pancreatitis that best aids in the prevention of discomfort associated with diet.
A)Drink 2 liters of fluid at each meal and eat a high-fat diet.
B)Avoid caffeine beverages and eat a low-fat diet.
C)You need to keep your energy levels up by eating a high-carbohydrate and high-fat diet.
D)A high-sodium, high-protein diet best prevents abdominal discomfort.
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12
Chapter 11: Nclex: What You Need to Know
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Sample Questions
Q1) A client with pancreatitis complains of abdominal pain. If the physician has prescribed all of the following medications PRN for pain for this client, identify the one the nurse should give.
A)Morphine sulfate, 5 to 10 mg IV
B)Propoxyphene HCL (Darvon), 65 mg PO
C)Meperidine (Demerol), 25 to 50 mg IV
D)Acetaminophen (Tylenol), 650 mg PO
Q2) Select the intervention that the nurse places highest priority on when caring for an adult client with severe impetigo.
A)Using a circular motion to apply prescribed topical antibiotic ointmenta.m.and one in the p.m.
B)Covering the client's hands with gauze or mitts to prevent scratching
C)Administering prescribed systemic antibiotics
D)Giving the client two tepid baths, one in the
Q3) In the abbreviation NCLEX-CAT, RN, what does CAT stands for?
A)Computerized assistive testing
B)Complex assessment technique
C)Computerized assessment testing
D)Computerized adaptive testing
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Page 13
Chapter 12: Reality Shock in the Workplace
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Q1) Which personality characteristics would make a person more susceptible to burnout?
A)Average intelligence, procrastinator, poor health
B)Above average intelligence, idealistic, perfectionist
C)Below average intelligence, procrastinator, excellent health
D)Average motivation level, high income, idealistic
Q2) What role does a resume play when seeking a first job in nursing?
A)It is of little use because most hospitals have a job application form.
B)It should be as long as possible to impress the interviewer.
C)It provides the hospital with a complete picture of the graduate in as little space as possible.
D)It usually has a negative effect on the chance of employment.
Q3) A nurse employed in an acute care hospital is experiencing a high level of anxiety related to work stress. In identifying and ranking the nurse's sources of stress, which one would receive the lowest priority?
A)Lack of adequate staffing and mandatory overtime
B)Lack of control in decision making and autonomy
C)Receiving a 2.5% annual raise because of revenue loss by the hospital
D)Frequent deaths of critically ill clients
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Page 14
Chapter 13: Principles of Leadership and Management
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Q1) What is the first action the nurse manager should take when changing a procedure for the distribution of cardiac telemetry units when there are more clients than units available?
A)Review the current standards of care.
B)Rewrite applicable policies and procedures.
C)Designate the most critical clients as the ones to receive the units first.
D)Poll the physicians who commonly use telemetry for their opinions.
Q2) Select the statement by a unit manager to the vice president for nursing during a budget meeting that would be most effective in decreasing the staffing ratio on her unit from one nurse for every nine clients to one nurse for every seven clients. "This proposed change will ____."
A)have a positive effect on the usage of institutional resources
B)better meet current national standards of practice
C)help with the recruitment of new nurses to the facility
D)improve the quality of care for the clients on the unit
Q3) Based on a task-oriented philosophy, ____________________ requires each person to perform a specific job that is narrowly defined according to the needs of the unit.
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Chapter 14: Communicating Successfully
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Sample Questions
Q1) Which factor contributes most to an 82-year-old client's understanding of the discharge teaching given by a nurse?
A)The client believes he knows all the information already and is not really paying attention.
B)The client asks so many questions that the nurse loses his or her train of thought.
C)The nurse attempts to communicate at the client's knowledge level.
D)The client believes that asking questions may be perceived as a threat to the nurse's authority.
Q2) When does the encoding process of communication take place?
A)The receiver thinks about the information, understands it, and forms an idea based on the message.
B)The receiver responds to the message and gives feedback.
C)The sender sends the message.
D)The message is sent in a way that causes confusion in the receiver.
Q3) Depending on how it is channeled, expressed, and used, ________________can be a positive or negative force within the group.Multiple Response
Identify one or more choices that best complete the statement or answer the question.
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Page 16
Chapter 15: Incivility: the Antithesis of Caring
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Q1) Identify the characteristic that would commonly be found in an individual recognized as a "violator/tormentor."
A)Self-absorption and negative attitudes
B)High self-esteem and rigid behavior
C)Positive attitudes and codependence
D)High energy levels and manipulative behavior
Q2) What is the first step in defusing the spiral of incivility?
A)Reflection upon the problem
B)Developing a plan to resolve the problem
C)Active listening to a fellow worker's accounts of incivility
D)Reporting the incident to a superior
Q3) The caring-civility link is best exemplified by which of the following?
A)Helping in disasters in foreign countries
B)Conducting scholarly research into overcoming health-care disparities
C)Accepting criticisms from physicians even though unjustified
D)Making nursing assignments based on clients' needs and nurses' skills
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Chapter 16: Delegation in Nursing
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Q1) Which assignment is most appropriate for a CNA floated to the medical/surgical unit from the outpatient clinic?
A)Assist a 72-year-old man 1 day post-cerebrovascular accident (CVA) with dysphagia to eat lunch.
B)Obtain a temperature on a 29-year-old woman with gastrointestinal bleeding during the last 30 minutes of a whole-blood transfusion.
C)Complete the admission vital signs and assessment on a 44-year-old woman who just returned from the post-anesthesia care unit (PACU) after nephrectomy.
D)Change the sterile dressings on a 22-year-old man 2 days after undergoing skin graft for burn injuries
Q2) Select the most appropriate client for the RN to assign to the CNA.
A)A client with difficulty swallowing food and fluids
B)A client with constipation who needs tap-water enemas
C)A client with a colostomy who requires irrigations
D)A client with a PEG tube who is receiving continuous tube feedings
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18
Chapter 17: Governance and Collective Bargaining
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Q1) How can a nurse who belongs to a union best explain collective bargaining to a coworker?
A)It is a conflict-based power strategy used to equalize the power between labor and management.
B)It is the right of all workers to organize and strike to gain more benefits.
C)It is the ability of large numbers of workers to force management into recognizing them as valuable.
D)It is using picket lines and violence to achieve higher pay, better working conditions, and shorter hours.
Q2) Identify the key element in the fee-for-service model of governance.
A)Clients are billed separately for nursing services.
B)All clients are billed the same amount for nursing services.
C)Nursing care is included in the overall room bill sent to the client.
D)A functional nursing model is required to implement fee for service.
Q3) Identify the most important factor in the initial negotiation of a contract.
A)Discussion of the important issues
B)Posturing and showmanship
C)Resolution of key conflicts
D)Lack of willingness to negotiate
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Page 19
Chapter 18: Health-Care Delivery Systems
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Q1) What is the key element in the horizontal integration of health-care services?
A)The use of a fee-for-service method of payment
B)One hospital providing the entire scope of services, so clients can be cared for without referral outside the system
C)Several health-care agencies working together to cut costs by sharing resources
D)The development of clinics outside the hospital to provide services traditionally found in the hospital
Q2) Select from the list below the primary goals of the Patient Protection and Affordable Care Act (PPACA) of 2010.
A)Increase the tax rate on the wealthy
B)Addressing inequities in insurance coverage
C)Helping the struggling elderly
D)Providing a way to insure all Americans
E)Increasing the number of large hospitals
F)Breaking the insurance industry's strangle hold on health care
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Chapter 19: Nursing Informatics
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Q1) Identify the element that is not commonly found in information science.
A)Data or tasks that are processed
B)Configuration and architecture of the computer system
C)How problems are solved
D)Where products are produced
Q2) What advantage does the electronic health record (EHR) system have over traditional paper systems?
A)More portable
B)Unbreakable
C)Fewer privacy issues
D)Reduces redundancy
Q3) What does function in nursing informatics focus on?
A)How the management and processing of information helps nurses enter, organize, or retrieve information
B)A well-articulated theoretical basis to guide the gathering of data
C)The levels of special interest, including technology and concepts of nursing theory
D)Areas of research that lead to new knowledge
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Chapter 20: The Politically Active Nurse
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Q1) What is the document that provides nurses with the right to practice and specifies the parameters of professional practice?
A)Nurse Practice Act
B)Scope of Practice
C)Legislative Law
D)State Board of Nursing
Q2) What is the primary purpose of targeting endorsements?
A)Prevents nurses from making blind political decisions
B)Allows nurses to offer something of value to candidates
C)Identifies specific nursing political goals
D)Helps nurses understand executive orders
Q3) If the House and Senate have different versions of the same bill, where does the bill go next?
A)To the President for signature of the bill he favors most
B)To the Rules Committee to set up the guidelines for passage of the bill
C)To the Conference Committee to resolve the differences between the two bills
D)To the Finance Committee to see if there is enough money in the budget for both forms
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22
Chapter 21: Spirituality and Health Care
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Q1) Identify the principle upon which Nightingale's spirituality was based.
A)The beliefs of her Unitarian and Anglican parents
B)Scientific rationalism
C)Adherence to a set of rules of behavior, the participation in prescribed rituals, prayer, and the study of sacred texts
D)A sense of a divine intelligence who creates and sustains the cosmos as well as an awareness of her own inner connection with this higher reality
Q2) What do clients practice when they meditate using an image of a desired outcome or the process of attaining it?
A)Wishful thinking
B)Visualization
C)Relaxation techniques
D)Religion
Q3) What are clients experiencing major life transitions least likely to encounter?
A)Anxiety and vulnerability
B)Spiritual abandonment
C)Stagnation and apathy
D)Spiritual enlightenment
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23
Chapter 22: Cultural Diversity
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Q1) Which is an accurate statement about the expressions of culture?
A)They are primarily unconscious.
B)They become more evident as a person ages.
C)They are usually written down in formal documents.
D)They have little to do with a group's values.
Q2) What would identify a person who is demonstrating heritage consistency?
A)Accepting all the elements of the dominant culture and attempting to fit in as much as possible
B)Rejecting the dominant culture and clinging to the traditional ways of behavior
C)Going along with the dominant culture during the workday but reverting to his or her own cultural practices when at home
D)Refusing to learn the language of the dominant culture
Q3) What is the most important factor in obtaining an accurate cultural assessment of a client?
A)Using a comprehensive assessment tool
B)Establishing a warm, trusting relationship
C)Using a translator
D)Asking pointed questions about the client's beliefs and values
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24
Chapter 23: Developments in Current Nursing Practice
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Q1) Which element is usually excluded from forming the scientific knowledge base of forensic nursing?
A)Criminal justice
B)Police science
C)Theological concepts
D)Legal studies
Q2) Select all the categories from the list below that are appropriate for nurse entrepreneurs.
A)Nurse attorneys
B)Nurse death investigators
C)Nurse epidemiologists
D)Psychiatric nurses
E)School nurses
F)Legal nurse consultants
Q3) Identify a secured setting for the practice of forensic nursing.
A)Correctional institutions
B)Crime scenes
C)Woman's shelters
D)Emergency rooms
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Page 25
Chapter 24: Client Education: a Moral Imperative
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Q1) A client tells the nurse that she has been using a health information website to find information about her illness. Which statement by the client does the nurse need to correct?
A)Some of the websites do not have very accurate information.
B)All of my personal information will be kept secure.
C)I should speak to my physician before using any alternative therapies.
D)Other clients seem to be having the same symptoms I have.
Q2) Select the factor that is most likely to increase a client's motivation to learn.
A)A severe illness with the potential to be fatal
B)The presence of the client's significant other during teaching session
C)A college education
D)A high socioeconomic level
Q3) Which is an important element for the nurse to remember when conducting a client language assessment?
A)Did the client bring an interpreter to the hospital?
B)What is the client's fluency in both the primary and secondary languages?
C)How long has the client been living in America?
D)What cultural health-care practices does the client use on a regular basis?
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Chapter 25: Nursing Research and Evidence-Based Practice
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Q1) Nurses are accountable for all decisions they make regarding patient care. Identify the best defense for initiating or changing any specific nursing intervention.
A)Nursing administration has informed all units that they must update all current interventions.
B)A new intervention has been identified as less costly to patient and hospital.
C)The success of a new intervention is supported by strong empirical evidence.
D)The charge nurse has read a particularly good idea for a new intervention in a reputable nursing journal.
Q2) What is the purpose of qualitative inquiry research?
A)Gaining an understanding of how individuals find meaning in their world
B)Measuring the variables identified as dependent
C)Testing an identified hypothesis and proving a theory
D)Generalizing relationships between concepts
Q3) It is important for nurses to develop the skill of ________________so that they will have the ability to understand the research process and then be able to sift through and carefully assesses all available and credible research findings.
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Chapter 26: Alternative and Complementary Healing Practices
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Q1) Select from the list below all the reasons for the increasing use of alternative and complementary healing practices.
A)Dissatisfaction with conventional health care
B)Desire for greater control over one's health
C)Desire for cultural and philosophical congruence with personal beliefs about health and illness
D)Growing understanding of the philosopy behind alternative practices
E)Belief in the effectiveness of alternative therapies
F)Traditions passed on from parents
Q2) Select from the list below all methods that would make a health care be considered alternative.
A)Self-care
B)Wellness
C)Illness recovery
D)Self-healing
E)Health promotion
F)Illness prevention
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